119th Congress · introduced in the Senate · Feb 13, 2025
I CAN Act
Official title from Congress.gov
Latest action (Feb 13, 2025): Read twice and referred to the Committee on Finance.
View on Congress.govPolicy area: Health
Congressional Research Service summary, version: Introduced in Senate (Feb 13, 2025)
Improving Care and Access to Nurses Act or the I CAN Act
This bill allows other health care providers besides physicians (e.g., nurses) to provide certain services under Medicare and Medicaid.
Among other changes, the bill (1) allows a nurse practitioner or physician assistant to fulfill documentation requirements for Medicare coverage of special shoes for diabetic individuals; (2) expedites the ability of physician assistants, nurse practitioners, and clinical nurse specialists to supervise Medicare cardiac, intensive cardiac, and pulmonary rehabilitation programs; and (3) allows nurse practitioners to certify the need for inpatient hospital services under Medicare and Medicaid.
Includes amendment, cloture, and procedural votes. Each is labeled with its exact question; only a passage question is a vote to pass the bill.
No recorded roll calls on this bill in coverage.
Read twice and referred to the Committee on Finance.
Introduced in Senate
Actions from Congress.gov, newest first.
Administrative law and regulatory procedures · Blood and blood diseases · Cardiovascular and respiratory health · Civil actions and liability · Department of Health and Human Services · Drug therapy · Health care costs and insurance · Health care coverage and access · Health personnel · Health technology, devices, supplies · Home and outpatient care · Hospital care · Long-term, rehabilitative, and terminal care · Medicaid · Medicare · Nutrition and diet · Sex and reproductive health · Surgery and anesthesia · Women's health
LD-2 reports whose issue descriptions explicitly cite this bill (bill type and number validated against Congress.gov records). A citation does not establish the client's position or any contact with a member.
Loading lobbying reportsCoverage: reports for 2025 onward, posted Jan 1, 2025 through Oct 24, 2026.
137 citations; showing the 25 most recently posted.
NATIONAL LEAGUE FOR NURSING · lobbying firm or registrant: MASON CONSULTING, LLC
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 21, 2026 · issue area: Medicare/Medicaid
$30,000
Paid to lobbying firm
…sed rule, Calendar Year 2027 Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment and Coverage Policies (CMS-1848-P) H.R. 1317/S. 575, Improving Care and Access to Nurses (I CAN) Act H.R. 1616/S. 1805, Promoting Access to Diabetic Shoes Act H.R. 2531/S. 1232, Workplace Violence Prevention for…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
NATIONAL ASSOCIATION OF PEDIATRIC NURSE PRACTITIONERS · lobbying firm or registrant: MASON CONSULTING, LLC
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 21, 2026 · issue area: Medicare/Medicaid
$24,000
Paid to lobbying firm
…-IFC) Centers for Medicare & Medicaid Services proposed rule, Amending the Indirect Hold Harmless Threshold of Health Care-Related Taxes (CMS-2452-P) H.R. 1317/S. 575, Improving Care and Access to Nurses (I CAN) Act H.R. 1616/S. 1805, Promoting Access to Diabetic Shoes Act H.R. 2172/S. 1058, Preserving Patient Access to Home…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
AMERICAN ASSOCIATION OF NURSE ANESTHETISTS · lobbying firm or registrant: AMERICAN ASSOCIATION OF NURSE ANESTHETISTS
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 21, 2026 · issue area: Medicare/Medicaid
$240,000
Spent on own lobbying
Improving Care and Access to Nurses Act (H.R. 1317/S. 575)- issues pertaining to removing barriers to APRNs in Medicare and Medicaid Medicare Access to Rural Anesthesiology Act (H.R. 9642) - Issues pertaining to Medic…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
AMERICAN ASSOCIATION OF NURSE ANESTHETISTS · lobbying firm or registrant: PUBLIC STRATEGIES WASHINGTON, INC.
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 20, 2026 · issue area: Health Issues
$50,000
Paid to lobbying firm
Improving Care and Access to Nurses Act (H.R. 1317/S. 575) Title VIII Nursing Workforce Reauthorization Act of 2025 (H.R. 3593/S.1874) CRNA Scope of Practice CRNA Reimbursement Rural Healthcare Nursing Workforce Nurse…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
AMERICAN ASSOCIATION OF NURSE ANESTHETISTS · lobbying firm or registrant: PUBLIC STRATEGIES WASHINGTON, INC.
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 20, 2026 · issue area: Medicare/Medicaid
$50,000
Paid to lobbying firm
Improving Care and Access to Nurses Act (H.R. 1317/S. 575)- issues pertaining to removing barriers to APRNs in Medicare and Medicaid Medicare Reimbursement CRNA Scope of Practice Rural Healthcare Provider Nondiscrimin…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
AMERICAN ASSOCIATION OF NURSE PRACTITIONERS · lobbying firm or registrant: AMERICAN ASSOCIATION OF NURSE PRACTITIONERS
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 20, 2026 · issue area: Health Issues
$390,000
Spent on own lobbying
…Access Act H.R. 1616/S. 1805 - Promoting Access to Diabetic Shoes Act S. 717/H.R. 6894 - Increasing Access to Quality Cardiac Rehabilitation Care Act H.R. 1317/S. 575 - Improving Care and Access to Nurses (ICAN) Act H.R. 4773/S. 3350 - ACO Assignment Improvement Act of 2025 H.R. 6199/S. 3934 - Medical Nutrition Therapy Act o…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
AMERICAN ASSOCIATION OF NURSE PRACTITIONERS · lobbying firm or registrant: AMERICAN ASSOCIATION OF NURSE PRACTITIONERS
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 20, 2026 · issue area: Medicare/Medicaid
$390,000
Spent on own lobbying
…Access Act H.R. 1616/S. 1805 - Promoting Access to Diabetic Shoes Act S. 717/H.R. 6894 - Increasing Access to Quality Cardiac Rehabilitation Care Act H.R. 1317/S. 575 - Improving Care and Access to Nurses (ICAN) Act H.R. 4773/S. 3350 - ACO Assignment Improvement Act of 2025 H.R. 6199/S. 3934 - Medical Nutrition Therapy Act o…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
AMERICAN ASSOCIATION OF NURSE ANESTHETISTS · lobbying firm or registrant: WHEAT SHROYER GOVERNMENT RELATIONS LLC
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 20, 2026 · issue area: Health Issues
$60,000
Paid to lobbying firm
Provider non-discrimination and related anesthesia access and payer reimbursement issues (H.R.1317/S.575) I CAN Act (S.1874/H.R. 3593) Title VIII Nursing Workforce Reauthorization Act of 2025 (H.R.6545) Anesthesia for All Act Anesthesia access in rural areas
Congress inferred from the report year; bill number matches Congress.gov records and the bill predates the report; no title was cited with it. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
AMERICAN ASSOCIATION OF NURSE ANESTHETISTS · lobbying firm or registrant: WHEAT SHROYER GOVERNMENT RELATIONS LLC
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 20, 2026 · issue area: Medicare/Medicaid
$60,000
Paid to lobbying firm
(H.R.1317/S.575) I CAN Act Issues surrounding Medicare Conditions of Participation (H.R. 1) One Big Beautiful Bill Act [P.L. No. 119-21] Issues surrounding Medicare supervisio…
Congress inferred from the report year; bill number matches Congress.gov records and the bill predates the report; no title was cited with it. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
NATIONAL COUNCIL OF STATE BOARDS OF NURSING, INC. · lobbying firm or registrant: NATIONAL COUNCIL OF STATE BOARDS OF NURSING, INC.
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 20, 2026 · issue area: Health Issues
$150,000
Spent on own lobbying
…ge Reduction Act of 2026 (S.3707/H.R.7279) Future Advancement of Academic Nursing (FAAN) Act (S.3435/H.R.6607) Improving Care and Access to Nurses (I CAN) Act (S.575/H.R.1317) Improving Access to Workers Compensation for Injured Federal Workers Act of 2025 (S.3296/H.R.3170) National Nursing Workforce Center Act of 2025 (S.1…
Congress inferred from the report year; bill number matches Congress.gov records and the bill predates the report; no title was cited with it. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
AMERICAN NURSES ASSOCIATION · lobbying firm or registrant: WHEAT SHROYER GOVERNMENT RELATIONS LLC
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 20, 2026 · issue area: Health Issues
$30,000
Paid to lobbying firm
…Strengthening the nurse workforce and increasing the pipeline Nurse burnout and well-being Nurse overtime and patient safety Nurse faculty shortages (H.R.1317/S.575) I CAN Act Issues surrounding surgical smoke (S.1874/H.R. 3593) Title VIII Nursing Workforce Reauthorization Act of 2025 (H.R. 4407/S.1482) National Nursing Wo…
Congress inferred from the report year; bill number matches Congress.gov records and the bill predates the report; no title was cited with it. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
AMERICAN NURSES ASSOCIATION · lobbying firm or registrant: WHEAT SHROYER GOVERNMENT RELATIONS LLC
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 20, 2026 · issue area: Medicare/Medicaid
$30,000
Paid to lobbying firm
(H.R.1317/S.575) I CAN Act Issues surrounding Medicaid reforms Issues surrounding nurse payment policies (H.R. 1) One Big Beautiful Bill Act [P.L. No. 119-21] (H.R. 4206) CONN…
Congress inferred from the report year; bill number matches Congress.gov records and the bill predates the report; no title was cited with it. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
AMERICAN ASSOCIATION OF NURSE PRACTITIONERS · lobbying firm or registrant: WHEAT SHROYER GOVERNMENT RELATIONS LLC
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 20, 2026 · issue area: Medicare/Medicaid
$70,000
Paid to lobbying firm
…ners (S.1805/H.R. 1616) The Promoting Access to Diabetic Shoes Act Issues surrounding Medicaid reforms Extension of Medicare telehealth flexibilities (H.R.1317/S.575) ICAN Act (S.717/H.R.6894) Increasing Access to Quality Cardiac Rehabilitation Care Act (H.R.4773/S.3350) ACO Assignment Improvement Act Issues surrounding ski…
Congress inferred from the report year; bill number matches Congress.gov records and the bill predates the report; no title was cited with it. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
AMERICAN NURSES ASSOCIATION · lobbying firm or registrant: AMERICAN NURSES ASSOCIATION
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 20, 2026 · issue area: Health Issues
$210,000
Spent on own lobbying
…trengthening the nurse workforce and increasing the pipeline Nurse burn out and well-being Nurse overtime and patient safety Nurse faculty shortages (H.R. 1317/S. 575) I CAN Act Issues surrounding surgical smoke (H.R. 3593/S. 1874) Title VIII Nursing Workforce Reauthorization Act of 2025 (H.R. 4407/S. 1482) National Nursing…
Congress inferred from the report year; bill number matches Congress.gov records and the bill predates the report; no title was cited with it. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
AMERICAN NURSES ASSOCIATION · lobbying firm or registrant: AMERICAN NURSES ASSOCIATION
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 20, 2026 · issue area: Medicare/Medicaid
$210,000
Spent on own lobbying
(H.R. 1317/S. 575) I CAN Act Issues surrounding Medicaid reforms Issues surrounding nurse payment policies (H.R. 1) One Big Beautiful Bill Act [P.L. No. 119-21] (H.R. 10410) Edu…
Congress inferred from the report year; bill number matches Congress.gov records and the bill predates the report; no title was cited with it. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
AMERICAN ACADEMY OF PHYSICIAN ASSOCIATES · lobbying firm or registrant: ERNST & YOUNG LLP (WASHINGTON COUNCIL ERNST & YOUNG)
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 20, 2026 · issue area: Health Issues
$60,000
Paid to lobbying firm
…2025 (S. 3350, H.R. 4773) - Increasing Access to Quality Cardiac Rehabilitation Care Act of 2025 (S. 717, H.R. 6894) - Improving Care and Access to Nurses Act (S. 575, H.R. 1317) - Regulatory restrictions on PA practice - Student loans - H.R. 6718, Professional Student Degree Act - Definition of professional degree - Section…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
MASSACHUSETTS MEDICAL SOCIETY · lobbying firm or registrant: MASSACHUSETTS MEDICAL SOCIETY
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 19, 2026 · issue area: Health Issues
$50,000
Spent on own lobbying
…Care Act of 2025 Budget neutrality rules in the Medicare Physician Fee Schedule - no specific bill H.R. 2757 Medicare Audiology Access Improvement Act of 2025 S. 575 the Improving Care and Access to Nurses Act H.R. 879 the Medicare Patient Access and Practice Stabilization Act H.R. 8163, the Provider Reimbursement Stability…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
MASSACHUSETTS MEDICAL SOCIETY · lobbying firm or registrant: MASSACHUSETTS MEDICAL SOCIETY
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 19, 2026 · issue area: Medicare/Medicaid
$50,000
Spent on own lobbying
…Care Act of 2025 Budget neutrality rules in the Medicare Physician Fee Schedule - no specific bill H.R. 2757 Medicare Audiology Access Improvement Act of 2025 S. 575 the Improving Care and Access to Nurses Act H.R. 879 the Medicare Patient Access and Practice Stabilization Act H.R. 8163, the Provider Reimbursement Stability…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
AMERICAN ACADEMY OF PHYSICIAN ASSOCIATES · lobbying firm or registrant: AMERICAN ACADEMY OF PHYSICIAN ASSOCIATES
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 19, 2026 · issue area: Health Issues
$160,000
Spent on own lobbying
…asing Access to Quality Cardiac Rehabilitation Care Act (HR 6894/S. 717), the ACO Assignment Act (HR4773/S. 3350), the Improving Care and Access to Nurses Act (S. 575, HR 1317), Professional Student Degree Act (HR 6718), Enhancing Skilled Nursing Facilities Act (HR 7106) Medical Nutrition Therapy Act (HR 6199/S. 3934), SHARE…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
AMERICAN NEPHROLOGY NURSES ASSOCIATION · lobbying firm or registrant: VENABLE LLP
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 14, 2026 · issue area: Health Issues
$30,000
Paid to lobbying firm
…ons for Dialysis Patients Act (H.R. 2199 / S. 1173); Organ Donation Referral Improvement Act (H.R. 330); The Improving Care & Access to Nurses Act (H.R. 1316 / S. 575); Providing Real-world Education and Clinical Experience by Precepting Tomorrow's Nurses Act (H.R. 392 / S. 131); Dr. Lorna Breen Health Care Provider Protecti…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
NATIONAL COUNCIL OF STATE BOARDS OF NURSING, INC. · lobbying firm or registrant: NATIONAL COUNCIL OF STATE BOARDS OF NURSING, INC.
2026 Q2 report (Apr 1, 2026 – Jun 30, 2026) · amended · posted Aug 5, 2026 · issue area: Health Issues
$160,000
Spent on own lobbying
…Precepting Tomorrows (PRECEPT) Nurses Act (S.131/H.R.392) Nurse Corps Tax Parity Act of 2025 (S.1548/H.R.3145) Improving Care and Access to Nurses (I CAN) Act (S.575/H.R.1317) Improving Access to Workers Compensation for Injured Federal Workers Act of 2025 (S.3296/H.R.3170) National Nursing Workforce Center Act of 2025 (S.1…
Congress inferred from the report year; bill number matches Congress.gov records and the bill predates the report; no title was cited with it. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
NATIONAL LEAGUE FOR NURSING · lobbying firm or registrant: MASON CONSULTING, LLC
2026 Q2 report (Apr 1, 2026 – Jun 30, 2026) · posted Jul 22, 2026 · issue area: Medicare/Medicaid
$29,067
Paid to lobbying firm
…on Program Inclusion of nurse practitioners in the bonus program for clinicians practicing in primary care Health Professional Shortage Areas (HPSAs) H.R. 1317/S. 575, Improving Care and Access to Nurses (I CAN) Act H.R. 1616/S. 1805, Promoting Access to Diabetic Shoes Act H.R. 2531/S. 1232, Workplace Violence Prevention for…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
NATIONAL ASSOCIATION OF PEDIATRIC NURSE PRACTITIONERS · lobbying firm or registrant: MASON CONSULTING, LLC
2026 Q2 report (Apr 1, 2026 – Jun 30, 2026) · posted Jul 22, 2026 · issue area: Medicare/Medicaid
$24,000
Paid to lobbying firm
…ioners in the bonus program for clinicians practicing in primary care Health Professional Shortage Areas (HPSAs) H.R. 498, Do No Harm in Medicaid Act H.R. 1317/S. 575, Improving Care and Access to Nurses (I CAN) Act H.R. 1616/S. 1805, Promoting Access to Diabetic Shoes Act H.R. 2172/S. 1058, Preserving Patient Access to Home…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
MASSACHUSETTS MEDICAL SOCIETY · lobbying firm or registrant: MASSACHUSETTS MEDICAL SOCIETY
2026 Q2 report (Apr 1, 2026 – Jun 30, 2026) · posted Jul 20, 2026 · issue area: Health Issues
$50,000
Spent on own lobbying
…Care Act of 2025 Budget neutrality rules in the Medicare Physician Fee Schedule - no specific bill H.R. 2757 Medicare Audiology Access Improvement Act of 2025 S. 575 the Improving Care and Access to Nurses Act H.R. 879 the Medicare Patient Access and Practice Stabilization Act H.R. 8163, the Provider Reimbursement Stability…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
MASSACHUSETTS MEDICAL SOCIETY · lobbying firm or registrant: MASSACHUSETTS MEDICAL SOCIETY
2026 Q2 report (Apr 1, 2026 – Jun 30, 2026) · posted Jul 20, 2026 · issue area: Medicare/Medicaid
$50,000
Spent on own lobbying
…Care Act of 2025 Budget neutrality rules in the Medicare Physician Fee Schedule - no specific bill H.R. 2757 Medicare Audiology Access Improvement Act of 2025 S. 575 the Improving Care and Access to Nurses Act H.R. 879 the Medicare Patient Access and Practice Stabilization Act H.R. 8163, the Provider Reimbursement Stability…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing